| Overall, what do you think went well? |
. Task for . organization and delivery were all excellent . the timeliness and panels were excellent . كل المواضيع . Breakout sessions were useful for me . Good . les ateliers . This meeting went well and according to the agenda, Plenary session is important to share the experience for each country . diversity of speakers and participants . Experience sharing . The coordination of the numerous activities. . It has been very successful to know the experience of the different regions of the world, and the roadmap unifies the way of approaching the strategies to sustain ourselves adequately. . Based my observation, starting from the opening session on the first day until end of session on the last day, everything goes well and all participant give their commitment very well. The secretariat also are friendly during we are reach in hotel lobby even though we are just knowing each other and very helpful. . La formation bien passé. . quantification and planning process . The break sessions went very well . The breakouts I attended raised some really interesting examples . The panel and breakout sessions where well organized. . All the content addressed and planned was good . Everything went very well.
Véry good organisation and participation from all those involved. . Des experts mondiaux renommés occasion très rare
Tranmission et Échanges d’information et d’experience.
Interdisciplinarite entre les différents acteurs. . Well organised meeting - very welcoming team.
It was great to meet and exchange. . The breakout station . Excellent overall . All topics were very interesting and useful and went very well. . Presentations . Les échanges des uns et des uns nous ont permis de nous situer dans l’implémentation du système d’oxygénoproduction et d’oxygénothérapie de qualité. . Breakout sessions were most insightful and fruitful. Could be even more effective e.g. if done as ‘world cafe’ manner. . All the aspects of the event were excellent. . Breakout sessions . Discussion on quality and QA.
Sustained discussion on the need for maintenance and biomedical workforce strengthening. . Muy interesante el intercambio de experiencias entre los participantes , acerca de la gestión de oxígeno en cada uno de los países que estuvieron representados en el evento. . I think all of it, maybe flights and accommodation should also be emphasized . TEMPLATE DEVELOPMENT . L’organisation avant et surtout pendant la réunion avec les interprètes. . The technical content on quality assurance and sustainability . issues of sharing experience and techniques . The organization, plenaries, member states representation and partners participation was great. . I love everything about this meeting. The topics, the discussions, posters, the different experts in one place. . les échanges sur les différents thématiques |
| Overall, which aspects of the meeting could have been improved? |
. More in Hospital management . none . none . توضيح دور المنظمه في دعم اعداد الاستراتيجيه الوطنيه للاكسجين في :-
إعداد استماره مسح موحده لكل البلدان ,من أجل جمع البيانات و تحليلها
- تنفيذ الاستراتيجيه الوطنيه خلال سنوات المحدده
- مشاركتنا ايميل المختصين بالاكسجين في المنظمه لتنسيق معهم
. Solutions were insufficient to build an oxygen station. . Panel Discussion . si vous pouvez ajouter une session sur les nouvelles techniques et équipements dans l’écosystème de l’oxygène médicale . Overall is OK . organisation was unclear, list of participants not shared . All captured . There were occasional hiccoughs with online presentations. . everything has been perfect . Everything in order. Great event even i the first time join. . Rien à signaler . the duration of the meeting: the planned time frame did not allow all the discussion sessions to be attended . Due to the schedule, the key experts that were moderating the break sessions did not get a chance to join other sessions which would have been critical to have their expertise and share experience in. . It was a shame not to be able to attend all the breakout topics . Use of visual aids such as powerpoint presentations can be improved. . Guarantee the translation of the different rooms on day 2 . Nothing in particular . Demultiplier cette réunion on se basant sur le
bassin géographique par le biais de l’OMS AFRO . Poster sessions:
- Easier hanging of posters would have been helpful.
- Some more time for poster presentation => the actual formal presentation round was extremely rushed and was of almost no benefit for presenters and participants. => this is an element, which could have been improved + what have expressed some recognition of the work, which was done and presented.
=> Overall the organisation of the poster presentation was unfortunately a missed opportunity.
=> Some of the plenary sessions could have been shortened in exchange for ‘more time for the posters’.
. Give more time to participant . . We have approved all of them. . Engagement with oxygen plant manufacturers . Augmenter la durée de l’atelier pourra que tout le monde ait la chance de s’exprimer, partager ses expériences et les lacunes rencontrées de la gestion de l’oxygène médical au quotidien. . Breakout sessions should be more interactive and systematic. World cafe scenario could be a good example. . time management on the first day of the event . More teaching experience about technical aspects about oxygen and solutions for all of the problems exposed. . Day 3 was lovely but agenda could have been condensed to include additional ‘value add’ breakouts for further discussion and learnings. . Considero que la reunión fue un éxito por su organización , los temas que se desarrollaron y por el consenso alcanzado en la elaboración de la plantilla. . Like I said above, for me accommodation, as I didn’t know anything about how I was to be accommodated till I got there . HAVE MORE COUNTRIES PRESENT ON THEIR CHALLENGES AND SUCCESSESS . La durée de la rencontre était un peu courte. Cela n’a pas permis de donner trop de temps aux discussions. . Perhaps, some logistics guidance could have been clearer, such as the yellow fever vaccination request, it was not so clear on the note whether it is compulsory while this vaccine is not available in our country, and in fact, immigration didn’t ask for it. But it was a confusion whether we would need it (from ASEAN countries) . not yet discovered . More time should have given to plenary discussions. . More interaction with on-line participants. . More time for breakout :-) . comment mobiliser les ressources pour un plan de durabilité pour les énormes investissements déjà réalisés
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| Please share any additional feedback |
. Engaged of more Hospital director . congratulation for the great effort and the frog leap in bringing medical oxygen closer to those who need it and need it urgently. . The organization of this meeting was successful. We given useful information an using oxygen. . S’il y a eu la possibilité de passer par les 07 ateliers (et non pas uniquement par 04) . For the next meeting should held in ASEAN country . The meeting was fruitful and experience sharing . Thank you very much on behalf of my country for considering our participation and for encouraging us to continue implementing the same mechanism for this and other topics of interest in global health. . Merci pour la formation et le partage. . RAS . None . Member states shared lots of interesting examples - a repository for them to share roadmaps, tools, software which is hosted and quality checked by WHO would be very helpful. . None . Thanks for the organisation and the great work done by the organising team.
Implementation work needs to be done by different stakeholders. In this context the meeting is of very, very important value => with WHO acting as a focal/reference point. . Please you must emphasise on the need for total stakeholder engagement . A l’équipe de la rédaction de travailler d’arrache pied pour finaliser la feuille de route de l’intensification de l’oxygène. . Thanks to all organizers and participants for the great insights, vibrant atmosphere and shared experience. . WHO needs to continue its support to oxygen ecosystem and overall biomedical equipment management cycle . Fue una gran experiencia profesional que me permitió alcanzar mayor conocimiento y habilidades en los procesos que garantizan una mejor gestión en el oxígeno medicinal. . More time for each of the processes which then means more days please . Veuillez traduire les documents finaux dans les différentes langues avant de les envoyer . If there is content to visit and learn from experience at the scene, it will be more intuitive . A) Please involve the TWG or create small relevant group to expedite finalization of the template. B) Do we need to start thinking what are key tools that we need along with the template for countries to support its implmentation? example, do we need to revise the WHO 2026 oxygen therapy manual in children? . Thank you for the opportunity. It was an important meeting and I learned so much that I know will be useful for my country. I also appreciate the opportunity to have met many wonderful advocates for health and saving lives. |
| Were there any topics related to oxygen scale up that you thought were missing? |
. Clinical management to patients
More deep respiratory and clinical discussion . recommended types of oxygen resources with their clinical and economic impact
manufacturers in the space of oxygen generation technologies
important technical features and requirements for oxygen plant . no, i think it was pretty comprehensive but would spend more time on the practical part of implementation and may more small group sessions or even consideration of simulation of relevant . لقد تطرق النقاش إلى كل المواضيع التي تتعلق بالاكسجين و كيفيه وضع الحلول عن طريق وضع الاستراتيجيه الوطنيه للوصول الاكسجين كعلاج أساسي ويضم ضمن القوائم الوطنيه للادويه بالمستشفيات و المراكز الصحيه . Topics related to finance were over looked . Practical steps on the implementation of the national oxygen roadmap.
How to build a Technical Working Group, how to involve all the partners.
How to begin this big coordination prior to implementing the national oxygen strategy.
A publication on how to build a national oxygen roadmap step by step . Comparative and sustainabllity with Different Oxyge system . NO . How to improve the oxygen system in such country . energy needs matching O2 production needs could have been more prominent
health policy, financing, master planning aspects should have been more important
health infrastructure and links to O2 should have been more detailed . Involving impacts of the hospital leaders in oxygen scale up process . No. . Technical differences between liquid and gaseous medicinal oxygen generation, as well as their costs and considerations . From my view, I think all the issues has been covered during discussion and break-up group. . La maintenance des systèmes PSA et le réseau.
Il faut aussi étudier le note calcul fluides médicaux. Normes français ou américaines…. . no . No . Systems thinking . No . no . no, I don’t think so. . La pandémie du covid 19 à montré une anarchie qui a conduit à un comportement et une consommation irrationnelle tant chez les professionnels de la santé que chez les citoyens.
les citoyens ne savait pas que l’oxygène est un médicament est utilisé selon les normes.
il faut établir des panels de formation et d’information pour les citoyens pour lutter contre l’infodémie . Architects and electrical engineers should be included.
=> Any form of O2-production method needs reliable electricity system.
=> In the evaluation of energy consumption all ‘electrical loads’ need to be carefully reviewed => in order to design an efficient electricity system.
- Big electricity consumers are: O2 - production, building temperature regulation
=> Climate responsive health facility configuration is therefore crucial.
=> reliable electricity systems and optimised storage management is needed.
=> Energy efficiency of PSA plants/O2- concentrators can be optimised.
Clearer definition of referral pathways in different contexts => + definition on which level O2 is needed.
Presentation emergency and critical care => levels of care. Including care of specific patient groups: pregnant women, newborns, children. . No. . No. . The importance of Biomedical engineer . Non . Over-scaling issue was not described.
Safety of use was not much elevated.
Financial component had little coverage. . No . Norms and regulations . The prickly issue of PSA plant vendors and spare part supply chain.
Discussion of SpO2 being included as a vital sign in patient management.
. No . Not really, but level and extent of work force involvement being multidisciplinary and multi sectoral should be emphasized . NO . Non . Relatively complete and detailed . Nothing missed but it is still important to highlight the role of global partners and donors in supporting the adoption of the scaling framework and subsequent implementation. Is there a way, we can frame, if countries want to leverage global level funding opportunities in the future, having a national road map is one of major criteria. . More discussions about research, innovations and local production. . I think we covered a lot. Just not enough time for the breakout . RAS |
| What were your key takeaways from this meeting? |
. Need for engaged of stakeholders . - WHA resolution on medical oxygen exist
- member states to develop the framework and plans to scale up access to medical oxygen
- member states to report on the progress made on access to medical oxygen every 2years
- WHO to support member states towards the achievement of the roadmap
. the complexity and multidisciplinary approach needed to implement oxygen . اهم الاستنتاجات هي ضروره اعداد خارطه الطريق للوصول الاكسجين في دول العالم الثالث التي توجد بها فجوات كبيره سواء من نقص انتاج الاكسجين أو القوى العامله او الماليه لوجستيه أو توفير الوقود و ….الخ . Road map using oxygen is important for us . Prepare Roadmap with Clear cut Base line Data . LA NECESSITE D’UNE APPROCHE HOLISTIQUE POUR LE DEVELOPPEMENT D’UNE STRATEGIE DE MISE A L’ECHELLE DE L’OXYGENE MEDICALE . Oxygen is a medicine, Access to oxygen is fundamental and right for every patient who needed. Sustainability of oxygen in the country is also important. . oxygen just one important component of health systems strengthening . Oxygen Project projects management steps up to final product . 1.Oxygen is life saving, and all LMICs with no or developing oxygen systems should develop national oxygen roadmaps/plans by 2025 with a focus to achieve full implementation by 2030.
- The WHO effectively strategized ways to implement the landmark Increasing Access to Medical Oxygen in LMICs through the impactful plenary sessions and breakout sessions.
. The meeting allows us to have a clear idea of the reality regarding the production, distribution and market regarding medicinal oxygen, and to be able to have a more accurate idea of the strategy to expand supply in our countries. . To workout and come out of some template that can be use to all country/state, it is not only to tackle the technical aspect only, but the eco-system must take in consider accordingly like as sustainable financial, costing, equity and social support, governance, management and coordination. . PSA est très important dans les structures de santé.
La formation continue sur les systèmes PSA et gestion d’oxygène. . sharing of experiences . The framework is useful to comprehensiveness of scale up plans and guides implementation.
Oxygen Financing is still needed, and gaps are still persistent across the sector . WHO and health sector partners have established this important platform to continue to engage and support countries to strengthen their medical oxygen systems.
Quality assurance of medical oxygen systems is still neglected yet important.
The Access to Medical Oxygen Policy Score Card (ATMO2S) is an important tool to measure country progress towards achieving the recommendations of the WHA resolution on increasing access to medical oxygen. . The learning was very useful . Quantifying the need for medical oxygen in all these aspects.
And also the financing aspect. . Oxygène est un médicament essentiel,la covid 19 à mis à nu les faiblesses du système de soins de santé dans les pays du monde entier.
L’élaboration d’un plan national pour l’augmentation de la disponibilité de l’oxygène est très important en prenant en compte tous les aspects liés à la réglementation,l’infrastructure,son approvisionnement continu,sa disponibilité permanente,tous les aspects techniques de son administration les plate-forme relatifs au systèmes d’information sa quantification,son financement durable,la compétence des effectifs à tous les niveaux…. . A very good meeting - Thanks a lot to the organisers.
Comprehensive health facility evaluations are crucial to develop sustainable O2- infrastructure.
=> see below.
Step-wise approaches are needed => allowing rapid, but well organised O2- provision as close as possible to populations requiring access to ‘essential emergency and critical care’.
. That roadmap make you to an for the improvement of oxygen delivery. . Relevance, challenges, potential solutions . Workforce, quantification, . Importance of competent workforce . Quantification des ressources nécessaires pour la mise en place d’une usine de production de l’oxygène médical ainsi que les politiques et règlements y relatifs . Oxygen therapy is still unavailable in many countries.
Quality and safety of oxygen delivery is still very low for millions of people. . The draft roadmap which will soon be shared and the networking. . Experiences from other countries managing oxygen, networking, and learning technical aspects about the oxygen ecosystem. Also, all of the resources and tools presented like Medevice, WHO oxygen calculator etc. . Disparate needs in different countries - no surprises. . Fue una reunión muy técnica e integral. En un proceso dinámico y con estrategias muy bien definidas logró transmitir importantes experiencias a los participantes. . Sustainability
Effective partnership
Human Resources, especially BME
Monitoring and Evaluation . OXGYEN SCALE UP AND OXYGEN PLANS FOR THE DIFFERENT COUNTRIES . Cette rencontre m’a permis de mieux cerner les défis de l’accès à l’oxygène médical et surtout d’apprécier la qualité de notre plan national oxygène en cours d’élaboration depuis janvier 2023. . The partnership, workforce capacity building . Experience in setting up an oxygen system for the country . A very well-organized meeting
It appears is a right time to have oxygen scaling framework that guides national oxygen systems planning.
Sustainability of oxygen investments a huge concern
There is a clear need for further scale up
There is a significant awareness and commitment from member states, but they need continuous support from donors and partners . Very useful to exchange experiences with counterparts.
All the health programmes require a holistic approach to success.
Finance is always an issue. . Medical oxygen is a serious agenda for medical facilities and a crucial subject to take seriously. . le partage des expériences des autres pays qui est un plus
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Comments
. RAS
. first plenary derailed the day: too many formal presentations and a moderator who mistook his role for a panellist! more interaction and more fluid conversations needed
. Might be can adopt and adapt from the other guidelines, for instant Health Technical Memorandum (HTM) that has been establish since 2006 (latest version if i not mistaken). The guidelines is specifically focus on medical gas system.
. RAS
. The plenary sessions were in general useful. The scoping review was excellent and very helpful. Costing and sustainable financing => this was an interesting genral overview of some financing options: However, considerably more work needs to be done by this team on detailed understanding of different ‘operational contexts’. This is particularly important if centralised versus decentralised O2-infrastructures are evaluated from a ‘comprehensive costing evaluation’ point of view. The team should evaluate carefully the requirements of O2 on different levels of referral pathways and potential technical context adapted solutions. As the implementation of an O2-infrastructure is very complex there may be a need for comprehensive health facility evaluations and health system strengthening strategies, which may follow a certain roadmap in different contexts.
. Wonderful meeting!
. Dear colleagues, I sincerely appreciate all your efforts in providing such a fascinating opportunity to discuss and achieve more valuable experience on the road to oxygen access. once again thank you all for your generous support and kindness it was great achievement.
. n/a
. Aucun commentaire particulier
. The experiences of other countries were the most interesting and helpful information.
. It was very useful to learn other things while a lot of countries also learn from us
. Meeting was productive, informative and very useful.
. pour une meilleur mobilisation de ressource
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